The report underscores the severe health risks posed by extreme heat, particularly in India, which is among the countries expected to record the highest number of additional heat-related deaths. Vulnerable populations, including the elderly, outdoor workers, and those without access to cooling, are at heightened risk. The projected toll of 15,800 deaths in India highlights the urgent need for preparedness measures. The broader impact of the 'Super El Niño' is also evident globally, with countries like Nigeria, Indonesia, and Brazil facing significant heat-related mortality. Without timely interventions, the health systems in affected regions may face overwhelming pressure.